Kathryn Rains-McNally

FSA, MAAA

Principal and Consulting Actuary

Seattle, WA, US

Kathryn Rains-McNally is a principal and consulting actuary with the Seattle office of Milliman.

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Experience

Kathryn is an experienced actuary with 20 years of experience and a diverse background, having worked at both a health plan and a provider system, in addition to many years as a consulting actuary. Kathryn is well-versed in commercial rating and underwriting, Medicare Advantage bidding, and essentially all forms of provider/payer contracting.

Kathryn’s areas of expertise include:

Medicare Advantage bid development and ongoing Medicare Advantage support, including product feasibility and risk adjustment analyses
Commercial rating and underwriting, including ACA rate filings and risk adjustment
Payer and provider contracting – fee-for-service, direct-to-employer, capitation, commercial risk, Medicare Shared Savings Program and CMS Direct Contracting, Centers of Excellence, bundled payments, and other alternative payment arrangements
Expertise in contract negotiation strategy, rate modeling, and helping providers understand risk and opportunity inherent in alternative payment arrangements

Publications and Presentations

Performance monitoring and growth support in MSSP and ACO REACH (Milliman White Paper, April 2022)
Full disclosure: Price transparency for health plans (Milliman White Paper, September 2021)
Understanding Medicare Disproportionate Share changes for FY 2014 (Milliman Research Report, March 2014)
Evaluating Bundled Payment Contracting (Milliman Healthcare Reform Briefing Paper, December 2011)

Professional Designations

Fellow, Society of Actuaries
Member, American Academy of Actuaries

Education

BA, Mathematics and Chemistry, Macalester College

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Publications

Read their latest work

Article

Performance monitoring and growth support in MSSP and ACO REACH

18 April 2022 - by Kathryn Rains-McNally, Emma Kramer

ACOs should examine provider-level financial benchmarks both for performance monitoring and growth strategy.

Article

Full disclosure: Price transparency for health plans

14 September 2021 - by Kathryn Rains-McNally, John M. Pickering

Recent changes in health plan and hospital transparency rules have potential to expand transparency to commercial market.

Video

Webinar: Incentives Aligned: Value-based contracting and strategies for Medicare patients

11 August 2021 - by Simon Moody, Pamela M. Pelizzari, Kathryn Rains-McNally, Matt Kranovich

Article

Understanding Medicare Disproportionate Share changes for FY 2014

10 March 2014 - by Charlie Mills, Kathryn Rains-McNally

Changes to the disproportionate share hospital (DSH) payment methodology are expected to lower disproportionate share hospital payments, but the impact by area and provider varies significantly.

Kathryn Rains-McNally

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Experience

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Read their latest work

Performance monitoring and growth support in MSSP and ACO REACH

Full disclosure: Price transparency for health plans

Webinar: Incentives Aligned: Value-based contracting and strategies for Medicare patients

Understanding Medicare Disproportionate Share changes for FY 2014

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Kathryn Rains-McNally

Experience

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